超声乳化术与小切口囊外摘除术治疗老年白内障的疗效对比

Clinical Comparison of Phacoemulsification and Small Incision Extracapsular Cataract Extraction in the Treatment of Senile Cataract

目的:对比超声乳化术与小切口囊外摘除术治疗老年白内障的临床疗效。方法:选取在本院就诊的76例老年白内障患者,随机分为观察组(小切口囊外摘除术,40眼)和对照组(超声乳化术,42眼)各38例。对比两组临床疗效。结果:术后3天观察组视力恢复率显著低于对照组(P<0.05),但两组术后1个月和3个月视力回复率比较,差异无统计学意义(P>0.05)。观察组术后24小时眼压显著低于对照组(P<0.05),但两组术前和术后48小时眼压比较,差异无统计学意义(P>0.05)。观察组总并发症发生率与对照组比较,显著减少(P<0.05)。结论:超声乳化术与小切口囊外摘除术治疗老年白内障效果相当,但小切口囊外摘除术安全性较好,值得临床推广。

Objective To compare the clinical effect of phacoemulsification and extracapsular cataract extirpation with small inci-sion in the treatment of senile cataract. Methods： 76 elderly cataract patients who were treated in our hospital were randomly divided into observation group （extracapsular cataract extirpation with small incision,40 eyes） and control group （phacoemult-- fication,42 eyes）,38 cases for each group. The clinical effects of the two groups were compared. Results： After operation,the recovery rate of visual acuity at 3d in the observation group was significantly lower 05） ^ but there was no significant difference n visual recovery rate between two groups of operation （P 〉 0 05）. The intraocular pressure in 24h in the observation group was significantly lower than that in the control group （P 〈 0. 05）, but there was no significant difference in the intraocular pressure between two groupster operation （P 〉 0. 05）. The rnicidence of total complications n the observation group was control group （P 〈 0. 05）. Conclusion： The phacoemulsification and extracapsular cataratt extirpation with small rnicision have the same effect n treating senile cataract, but extracapsular cataract extirpation with small rnicision s safer and worthy of clini-cal promotion.